Nodular cutaneous amyloidosis (NCA), the leastcommon form of primary cutaneous amyloidosis, ischaracterized clinically by waxy, purpuric plaques andnodules and histologically by amyloid deposits in thedermis and subcutaneous tissue. We present a patientwho developed multiple, non-contiguous NCA lesionsover a three year period without evidence of systemicdisease. We reviewed the literature and found fewother cases of this unusual presentation.